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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - within a defined timeframe.( 11 ) Because these systems for identifying possible diagnostic errors will capture
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - teams
describe outcomes specific to a very narrow window of the acute care episode.(14-16) They do not capture
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psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - DS: The Holy Grail pursuit is to identify a measure that can capture the degree to which an individual
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psnet.ahrq.gov/node/74252/psn-pdf
January 12, 2022 - KH: Just to clarify—you are able to capture whether the event was related to COVID-19, but that doesn't
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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - There are some occasions where you capture issues that need to be
fed back to the team immediately.
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - contribute to adverse events among patients, and patient safety reports in ambulatory care settings should capture
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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - That's one of the strengths if you're running an aviation reporting system and you're just trying to capture
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psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
June 14, 2023 - improvement program was enhanced with additional tools and resources designed to facilitate the efficient capture
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Video and screen capture: The system interfaces with a video camera to produce a recording of the entire
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - Identifying Adverse Events Not Present on Admission: Can We Do It?
James M. Naessens, ScD | October 1, 2008
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Naessens JM. Identifying Adverse Events Not Present on Admission: Can W…
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and
Reduce Unnecessary Cesarean Deliveries
July 8, 2022
https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-
cesarean-deliveries
Summary
Started in response to rising maternal morbidity and mortality rates in …
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common?
Mark L. Graber, MD | February 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpi…
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psnet.ahrq.gov/node/36319/psn-pdf
August 05, 2008 - Selling soap.
August 5, 2008
Dubner SJ; Levitt SD.
https://psnet.ahrq.gov/issue/selling-soap
This article discusses physician noncompliance with hand hygiene recommendations and describes
several low-tech interventions, including a screensaver showing germs captured in a Petri dish off a
physician's "clean" hands…
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psnet.ahrq.gov/node/36911/psn-pdf
September 01, 2011 - Managing clinical failure: a complex adaptive system
perspective.
September 1, 2011
Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health
Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336.
https://psnet.ahrq.gov/issue/managing-clinical-failure-compl…
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psnet.ahrq.gov/node/40908/psn-pdf
December 08, 2011 - Patients' identification and reporting of unsafe events at
six hospitals in Japan.
December 8, 2011
Hasegawa T, Fujita S, Seto K, et al. Patients' identification and reporting of unsafe events at six hospitals in
Japan. Jt Comm J Qual Patient Saf. 2011;37(11):502-508.
https://psnet.ahrq.gov/issue/patients-identifi…
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psnet.ahrq.gov/node/39725/psn-pdf
August 11, 2010 - The Invisible Gorilla: and Other Ways Our Intuitions
Deceive Us.
August 11, 2010
Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659.
https://psnet.ahrq.gov/issue/invisible-gorilla-and-other-ways-our-intuitions-deceive-us
This book explores inattentional blindness, as demonstrated in …
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psnet.ahrq.gov/node/34790/psn-pdf
December 23, 2008 - Cognitive errors in diagnosis: instantiation, classification,
and consequences.
December 23, 2008
Kassirer JP, Kopelman RI. Cognitive errors in diagnosis: instantiation, classification, and consequences.
Am J Med. 1989;86(4):433-41.
https://psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classificati…
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psnet.ahrq.gov/node/34954/psn-pdf
June 23, 2009 - Active surveillance of vaccine safety: a system to detect
early signs of adverse events.
June 23, 2009
Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of
adverse events. Epidemiology. 2005;16(3):336-41.
https://psnet.ahrq.gov/issue/active-surveillance-vacc…
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psnet.ahrq.gov/node/34805/psn-pdf
November 07, 2017 - Medication errors in neonatal and paediatric intensive-
care units.
November 7, 2017
Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units.
Lancet. 1989;2(8659):374-6.
https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
Th…
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psnet.ahrq.gov/node/36671/psn-pdf
January 18, 2011 - Increasing vigilance on the medical/surgical floor to
improve patient safety.
January 18, 2011
Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J
Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x.
https://psnet.ahrq.gov/issue/increasing-vigilance-m…